Motorcycle helmet effect on a per-crash basis in Thailand and the United States

OBJECTIVE: To compare the effectiveness of motorcycle helmets seen in prospective on-the-street motorcycle accident investigations. The data are drawn from two detailed, in-depth studies of motorcycle accidents, in which trained investigators collected extensive accident evidence on-scene immediately after the crash. This article compares helmeted and unhelmeted motorcycle riders on a per-accident basis for fatality rates, the rate of serious (AIS > 2) brain injuries among survivors, or an outcome that involved either of the two. METHODS: Nine hundred motorcycle crashes in Los Angeles and 969 crashes in Thailand were investigated in detail at the accident scenes, including photos of vehicles, skids, damage, and sometimes the rider. Helmets were collected and injury information was obtained from riders and care providers. This evidence was then used to reconstruct collision events to identify speeds, precrash motions, collision contacts, injury causation, and helmet performance. RESULTS: In both studies, approximately 6% of riders were killed and 20-25% were hospitalized. Overall, unhelmeted riders were two to three times as likely to be killed, and three times as likely to suffer either death or survival with AIS > 2 brain injury. Unhelmeted survivors had three to four times as many AIS > 2 brain injuries as helmeted riders on a per-crash basis. Nearly 100% of riders with AIS > 4 somatic injuries died. Such injuries were 30% of Thailand fatalities and 57% of L.A. fatalities, but only about 2-3% of the overall accident population. Among the 97-98% of riders with AIS < 5 somatic injuries, helmet use could prevent about three-fourths of fatalities and brain injuries. CONCLUSIONS: Helmets were extremely effective in preventing brain injury and death in 97% of the accident population in less-than-extreme crashes. Helmet use cannot prevent all fatalities because many of those killed succumb to below-the-neck injuries that a helmet cannot prevent.     

Mothers Against Drunk Driving (MADD): the first 25 years

Mothers Against Drunk Driving (MADD) has arguably been one of the most successful public-health grassroots citizen advocacy organizations in the United States in the past century. In 2005, MADD celebrated the 25th anniversary of its founding. Based on a national poll by the Gallup Organization in 2005, MADD is recognized by 94% of citizens. It is generally given credit for changing American attitudes toward drinking and driving. Since MADD's founding in 1980, alcohol-related traffic deaths in the United States have decreased from an estimated 30,000 to 16,694 in 2004, according to the National Highway Traffic Safety Administration. This article examines the growth of MADD since its founding and attempts to gauge its contribution to the public's understanding of the impaired-driving problem and to the reductions in alcohol-related highway deaths and injuries that have occurred in the first 25 years of its existence.     

Mechanical Equipment Injuries in Small Manufacturing Businesses. Knowledge,Behavioral, and Management Issues

This paper presents findings from an extensive study intofactors that impact upon the high rate of injuries due to mechanical equipment, especially in small manufacturing firms. Issues relating to knowledge of health and safety issues and to management practices have been shown to be extremely important with regards to safety in smaii businesses. Knowledge and awareness of hazards were found to be relatively low and few respondents, especially managers, had received adequate safety training. Managers did not regard the identification and control of risks as a priority. Workplaces generally lacked effective safety management procedures such as safety rules and regulations, procedures for recording and learning from accidents, and clearly defined responsibilities for safety. Some issues requiring further investigation, and some recommendations for improving safety in small businesses, are presented.     

Modelling the mitigation of a hydrogen deflagration in a nuclear waste silo ullage with water fog

During the decommissioning of certain legacy nuclear waste storage plants it is possible that significant releases of hydrogen gas could occur. Such an event could result in the formation of a flammable mixture within the silo ullage and, hence, the potential risk of ignition and deflagration occurring, threatening the structural integrity of the silo. Very fine water mist fogs have been suggested as a possible method of mitigating the overpressure rise, should a hydrogen–air deflagration occur. In the work presented here, the FLACS CFD code has been used to predict the potential explosion overpressure reduction that might be achieved using water fog mitigation for a range of scenarios where a hydrogen–air mixture, of a pre-specified concentration (containing 800 L of hydrogen), uniformly fills a volume located in a model silo ullage space, and is ignited giving rise to a vented deflagration. The simulation results suggest that water fog could significantly reduce the peak explosion overpressure, in a silo ullage, for lower concentration hydrogen–air mixtures up to 20%, but would require very high fog densities to be achieved to mitigate 30% hydrogen–air mixtures.     

Concurrent and Complete Anaerobic Reduction and Microaerophilic Degradation of Mono‐, Di‐, and Trichlorobenzenes

Bio‐Trap^®–based in situ microcosm studies were conducted to evaluate EHC‐M^® stimulated degradation of mono‐, di‐, and trichlorobenzenes in anaerobic groundwater at a site in Michigan. The data show that the EHC‐M^® amendment stimulated an overall increase in microbial activity and a shift in the microbial community structure, indicating more reduced conditions. Stable isotope probing with ¹³C₆‐chlorobenzene demonstrated attenuation of chlorobenzene and subsequent separation and characterization of the ¹²C‐ and ¹³C‐deoxyribonucleic acid (DNA) fractions were used to identify the attenuating microbes. These data clearly show the participation of an obligate aerobe in the chlorobenzene biodegradation process. Decreases in concentrations of trichlorobenzenes were also observed in comparison to a control. Due to the thermodynamically favorable reducing conditions stimulated by EHC‐M^®, the mechanism of degradation of the trichlorobenzenes is presumed to be reductive dehalogenation. However, on the strength of the DNA‐based analysis of microbial community structure, concurrent microaerophilic degradation of chlorobenzene or its metabolites was definitively demonstrated and cannot be ruled out for the other chlorobenzenes. © 2013 Wiley Periodicals, Inc.     

Study on the mechanical and environmental properties of concrete containing cathode ray tube glass aggregate

Cathode ray tube (CRT) glass is considered a hazardous material due to its lead toxicity. In addition, current disposal practices are being phased out due to their adverse environmental impacts. In this project, CRT glass was used as a fine aggregate replacement in concrete. Life-cycle material characterization was conducted by evaluating the durability and strength of the CRT-Concrete. Leaching tests were also conducted to investigate whether the material meets drinking water limits for Pb. Test results show that the plastic state of the CRT-Concrete was affected by the angularity of the glass particles. Moreover, the compressive strength of CRT-Concrete met and exceeded that of the control specimen. However, CRT-Concrete was susceptible to expansive alkali-silica reactions when more than 10% CRT replacement was used. Environmental leaching results show that lead concentrations from CRT-Concrete are below the drinking water limits depending on the CRT volume replacement and if biopolymers are used.     

Attachment behavior and health: relationships at work and home

This article examines the relationships between interpersonal attachment orientations, health, and social support. Four hypotheses specified relationships between three interpersonal attachment orientations (interdependent, counterdependent, and overdependent), physical and psychological symptoms, and social support. Data were collected from 297 students, the majority of whom were also full-time employees. An interdependent orientation was negatively related to social dysfunction. Counterdependent and overdependent orientations were negatively related to health. A counterdependent orientation was negatively related to social support, while an overdependent orientation was positively related to social support from co-workers and family. Copyright © 1999 John Wiley & Sons, Ltd.     

The roles of garment design and scene complexity in the daytime conspicuity of high-visibility safety apparel

INTRODUCTION: This study examines the effects of high-visibility garment design on daytime pedestrian conspicuity in work zones. Factors assessed were garment color, amount of background material, pedestrian arm motion, scene complexity, and driver age. METHOD: The study was conducted in naturalistic conditions on public roads in real traffic. Drivers drove two passes on a 31-km route and indicated when they detected pedestrians outfitted in the fluorescent garments. The locations of the vehicle and the pedestrian were recorded. RESULTS: Detection distances between fluorescent yellow-green and fluorescent red-orange garments were not significantly different, nor were there any significant two-way interactions involving garment color. Pedestrians were detected at longer distances in lower complexity scenes. Arm motion significantly increased detection distances for pedestrians wearing a Class 2 vest, but had little added benefit on detection distances for pedestrians wearing a Class 2 jacket. DISCUSSION: Daytime detection distances for pedestrians wearing Class 2 or Class 3 garments are longest when the complexity of the surround is low. The more background information a driver has to search through, the longer it is likely to take the driver to locate a pedestrian--even when wearing a high-visibility garment. IMPACT ON INDUSTRY: These findings will provide information to safety garment manufacturers about characteristics of high-visibility safety garments which make them effective for daytime use.     

The effects of a mandatory motorcycle helmet law on helmet use and injury patterns among motorcyclist fatalities

BACKGROUND: The National Highway Traffic Safety Administration (NHTSA) has found that motorcycle helmets are 37% effective in preventing death and 65% effective in preventing brain injuries in a crash. Unfortunately, in 1995 Congress lifted federal sanctions against states without helmet laws and since then there have been a number of primary motorcycle helmet laws repealed or weakened. More lives could be saved and serious injuries avoided if there was increased helmet use throughout the United States. METHODS: This study analyzed helmet use and injury patterns among motorcycle riders in the United States involved in fatal crashes from 1995 through 2003 and compared the results between states with and without a primary helmet law. Age, sex, injury severity and helmet use are some of the variables obtained from the Fatality Analysis Reporting System (FARS). RESULTS: In the 20 states and the District of Columbia, which currently have a primary helmet law, 84.0% of fatally injured riders were wearing a helmet. In the 27 states with a secondary helmet law, 36.2% of fatalities used a helmet, and in the remaining three states with no law at all, helmet use dropped to 17.6%. In the two states (Arkansas and Texas) that changed from a primary helmet law to a secondary helmet law in 1997, helmet use decreased from 78.2% in 1996 to 31.7% in 2000. CONCLUSION: If all states were to enact a primary motorcycle helmet law, helmet use would dramatically increase while decreasing the number of motorcyclist head injuries and fatalities. IMPACT ON INDUSTRY: The results of this study will hopefully persuade law makers to enact primary helmet laws in all states throughout the nation. Helmet manufacturers can use this data to design more comfortable helmets while also improving upon the protective qualities of these safety devices.     

High visibility safety apparel and nighttime conspicuity of pedestrians in work zones

PROBLEM: Every year numerous occupational fatalities result from pedestrians being struck by motor vehicles intruding into work zones. METHOD: Attributes of retroreflective personal safety garments on pedestrian conspicuity at night were assessed in a field study. Using instrumented vehicles on a closed track, participants drove through simulated work zones attempting to detect pedestrians located in the work zones. RESULTS: Configuration of the retroreflective trim, trim color, placement in the work zone, and driver age significantly affected pedestrian conspicuity. Intensity and the amount of retroreflective trim did not. DISCUSSION: Personal safety garments incorporating retroreflective trim significantly improve pedestrian conspicuity in work zones. SUMMARY: The results emphasize the importance of retroreflective trim on personal safety garments, particularly if the trim is located on garment sleeves. IMPACT ON INDUSTRY: We examine the design attributes that contribute to making a personal safety garment conspicuous. The results have implications regarding preferred garment designs, industry standards, and service life of personal safety garments.